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Home My WebLink About1405 TOPAZ CT; ; CB983343; PermitB U I L D I N G P E R M I T Permit No: CB98334j Project No: A9804348 Development No: 10/01/98 14:54 Page 1 of 1 I • Job Address: 1405 TOPAZ WY Permit Type : PLUMBING Parcel No: 212-191-56-00 Valuation: 0 Occupancy Group: Description: GAS LINE TO BBQ Appl/Ownr : TUZO JERGTER 1405 TOPAZ WAY CARLSBAB CA 92009 *** Fees Required Fees: Adjustments: Total Fees: Fee description Enter "Y" for Plumbing Gas Piping System 27.0Q . 0 Suite: Lot#: Reference#: Construction Type: NEW Status: ISSUED Applied: 10/01/98 Apr/Issue: 10/01/98 Entered By: JM F e * > > 760 438-381!~4 10/01/98 0001 01 02 C-PRHT Fees ollected & Credits *** Jr 1 .00 .00 27.00 Ext fee Data 20.00 Y 7.00 - !~L I /~~,( ______ , CITY OF CARLSBAD 27-00 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION FOR OFFICE USE 0~--:;> Ji -, PLAN CHECK NO-~~--.J--'_:;;_ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Pal mas Dr., Carlsbad CA 92009 EST. VAL. -------,i'-"+-.f-,"'1-f+-- Plen Ck.. Deposit.__ __ ....c..---r--,--- (760) 438-1161 Velidated By_"""=u....,i,,-,..,,_+:~:-Mr-- Date _______ __J~-,...,..,f-/'-~~- ~ Legal Description~-Lot No. SubdivisiOn Name/Number Unit Ne. -..JCf:b .c zri -i ~, ·-:s~ Phase No. Proposed Use Description of Work ,Of Stories • of Bedrooms 2. ----~ .. ·-···-· .... ~.•.· .. ··-·-=-,.-· ...... ____ ......................... ---·· -~=-i-----·-~· -, Name Address 3. APPLICANT O Cont~. 0 Agent ior Contractor t LI -zo ,ff: /.2 G,£) Total II of ur11ts II of Bathrooms Address Telephone II PROPERTY OWNER -:cuw Name Address State/Zip Telephone II .5. CONTRACTOR -COMPANY NAME I Sec. 7031. 5 Business and ProfessioM Code: Any City or County which r■quires a permit to COllltruct, ■Iler. imprOYe, demolish or repair any structure, prior to Its issuance, also requires the applicant for sueh permit to fH■ a signed stat■ment that Ile is licens■d PllfS\lllnt to 1tle provisions of th■ Contractor's Licens, Law !Chaptar 9, commending with. Section 7000 of Dlviaion 3 of the Bu.in■u and Profenions Code) or that ha Is ■x■mpt th■refrom. ■nd th■ besi<J for the alleged axemption. Anv violet· of Sect' n 7031.Ji !JV any 1PB1icant/pr.-, perput aub~s ti, applicant to• civil penalty of not more~ fiv■ hundred dollars 115001). / . .,-;;, C. µ " . • • l-i10IJ ~ titt:..Cif-/ft) I C .. ~ o · i3 . • • c v . . lC() -,.. vi l u..~ Name State Licens■ II _ __._r_.-1_-_l./__;. if;.... _C/_t-__ Address City St■ta/Zip T ■lephone II Lic■nse Class ________ _ City Busin■a U..-a I _______ _ Designer Name Address City St■t■fZip Telaphone State License II ________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby •ffirm under penalty of perjury -of the following declarations: D I have and will maintain • certifieete of cons■nt to self-insure for workers' compensation 1s provided by Sactlon 3700 of th■ Labor Code, for the performance of the work for which this permit is issued. 0 I have amJ will meint■in workers' compensation, ■s required by Section 3700 of the Labor Code, for th■ performance of th■ work for which this permit is issued. My worker's eompensation insurance carrier and policy number ere: Insurance Company____________________ Policv No. Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDJlm DOLLARS lt1001 Off LESSI 0 CERTIFICATE OF EXEMPTION: I certify that in the performanc■ of the worlr. "for which thi■ permit ie illsu■d. I sh■I not amploy any pa-son in any manner so as to become subject to th■ Workers' CompensstiOn L■ws of California. WARNING: F■llur■ to s■cute work■rs' co~tlon cov■ragll la unlawful, .. d ■hall ■ubj■ct .. ■mployer to Clbmnal p■naldN and clvll ftna■ up to -hundred thousand dollars ft 100,0001, In eddltlon to th■ c:nt of compenutlon, d■m■g■, • prollid■d to, In S■ctlon 370& of th■ Labar c:ad■, irn-t end m.-y'■ fN■. SIGNATURE _______________________________ DATE _________ _ 7. OWNER-BUILDER DECLARATION ' ~ •• ,.. • •• ~,:· .. ~.-;. .. ~~-r~ --:. ·, '· • · ·· · '·Yr .. :::: ,·· I hereby 9ffirm th•t I em exempt from th■ Contrecter's License Law for the following r■■son: D I, ■s owner of the prop■ny or my emplovns with wages as their sot■ COIIIIHfflSlfion, will do Iha work ■nd ttl■ structur■ Is not int■nd■d or offered for sale !Sac. 7044, Businass and Professions Code: Th■ Contractor'■ Ue■nH L■w does not ■pply ro ■n -ot property who bllllcls or lmprOYn th■reon, Ind who does such work himself or through his own ■mploy■es, provld■d that ■uch improvem■nts are not lnt■nded or oft■red tor•••· H, how■ver, th■ building or lmproyem■nt 11 sold within one y■■r of compl■tion, the awner-builcl■r will h■v■ the bunl■n of proving that Ile did not l,l,llld or 1""'""'8 for the purpo■■ of ■■t■J. 0 J, as owner of the property, am ■xr-Jusiv■ly contracting with lic-d contractor, to construct the proj■ct IS■c. 7044, Busin■es -,d Profe11ions Cod■: Th■ Contractor's Licens■ Lew do■s not apply to ■n owner of propany who builds or improvas th■r■on, .,d contr■c:t■ for ■uch project, with c:ontr■ctorlsl licenaed pursuant to the Contractor's Lic■ns■ L■wl. D I am ■,cempt under Seetion _____ Busin■ss ■nd Praf■sslons Code for this r■a ■on: □ ~ 1 . I personally plan to provide the mejor labor end m■t■ri■ls tor construetion of the propos■d prop■rty lmprovem■nt. YES lld'""' I lheve / have no!} signed an application tor a blJilding p■rmit for the propos■d worlc. 3. JMll'.SDn lfir,ml to provide th■ or;oJ>OS■d construction llncklde ~m■ I ■dlt,s• J phon■ n11rnb■r / c~ractors lic■ns■ numbert: c O /U //Cc·, 'IC. • ,t?,, -• )I {-f. . '12X>l-hO-61 Z. -G,.-(:, Z 4. I pl•n to provid■ ponions of the work, but I have hifftd the following p■non to coordinate. IIIPIIMS■ ■ncl provid■ th■ ma)Dr work linclud■ n■m■ I add,-JP'- number I contractors lic■ns■ oomber): ___________________________________________ _ 5. I will provide some of the work, bl.rt.Jlw!L.comracted fhir■dl the following parsons to provld■ the work Indicated llnc:llld■ nam■ I ■ddr■-1 J .,.._ number I typ■ of workl:. ______________ __,~-....::::.,..-.,,...-=e------------------1--..-------------- DATE __ ..._ _ _._......, ____ _ ·COMPLETE THIS SECTiON FOR NGW-IE:ID.IMW. iUII.EHN Iii.ins ONL y:~.: '.=,,•__,,.,, ,, • ..., ..,.,... , ••• ,., .,. • .,. -.,,.-~,,.~::---,.: ,.-;;,.;:,•-••·"""'' :-: · • · · • · • '" ..... ,. • • • -•• ls the applicant or future b&rilding occ:up•nt ~-to submit , business plan, aCU(ttly ha■rdallS meteriel■ ~-farm cw li■k m■l'lllll"'m■nt ■nd pr.-ian program under Sections 25605, 26633 or 25534 of th■ Prnl■y-T■nn■r H■z■rdous SUbst■nce Account Act? D YES [3-fio Is the •pplic■nt or future building occupant requir■d to obtain• permit from the air pollution control district or air 1111t1llty m-s-nent district? D YES [B--lio Is the faeility to ba coMtructed within 1,000 f■et of th■ outer boundary of• school site? D YES []...,1110 IF ANY OF THE ANSWERS ARE YES, A FINAL CERTlflCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ;8, • CONSTRUCTION LENDING AGENCY -.. • • •• •• • • • ·--••• ····a-·: •0·~·,,, ... ,,, ......... ~. • r.. •• •• .,, •• , •. -··· •• ., I hereby affirm that there is a construction lending agency for the performance of the work for which thil permit Is issued (Sec. 3097fil Civil Code). ·-LENDER'S NAME _____________ _ LENDER'S ADDRESS _______________________ _ ;9, APPLICANT CERTIFICATION I certify that I have r■ad the application ■nd state that the above information is correct ind that th■ lnform■tion on th■ plans i1 accurate. I agree to comply with all City ordinances ■nd Stet• laws relating to blJHding construction. I hereby authorize r■present■tiv■s of tile Citt of Carlsbad to enter upon th■ abov■ mentioned propeny for inspection purposes. I ALSO AGREE TO SAVE, INDEMMFY AND KEEP HARMLESS TH£ CfTY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for e,ccav■tions over 5'0" daep ■nd demolition or constll,ICtion of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shell expire by limitation and b■com■ null end void if the building or work authorized by such permit is not commenced within 365 d■vs from the date of S\ICh permit or if the building or work ■llthoriZed by such permit is suspended or abandoned at 1mv time ■her the work· mmenced tor. ___ ..,,. f 180 d ISaction 106.4.4 Uniform Building Code). ., / . J;-..r/ ~PPLICANT'S SIGNATURE • -DATE o//:!Pf7d -------~------PINK: Finance PERMIT# CB983343 CITY OF CARLSBAD INSPECTION REQUEST FOR 10/07/98 INSPECTOR AREA PLANCK# CB983343 ace GRP DESCRIPTION: GAS LINE TO BBQ TYPE: PLUM JOB ADDRESS: 1405 TOPAZ WY APPLICANT: TUZO JERGTER CONTRACTOR: OWNER: REMARKS: C/JERGER/619/987-5556 SPECIAL INSTRUCT: HOME 438-3888 TOTAL TIME: CD 21 23 LVL DESCRIPTION PL Underground/Under Floor PL Gas/Test/Repairs ------------------ ------------------------------------ STE: CONSTR. TYPE NEW LOT: PHONE: 760 438-3888 PHONE: PHONE: ,,,.-7 INSPECTOR !'}./ -7------------ ACT COMMENTS µ)L..,, A:/£!-------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS